2025 HCPCS code L5702

Molded replacement socket for hip disarticulation, including hip joint.

Refer to HCPCS coding guidelines for proper coding and billing.

Medical necessity must be established for the replacement socket. This may include documentation of the patient's functional limitations, pain, or skin breakdown related to the previous prosthesis, and the expectation of improved function with the new socket.

The clinician is responsible for ensuring the proper fit and function of the replacement socket, including the hip joint, and for making adjustments as needed.

IMPORTANT L5700 for Below Knee, L5701 for Above Knee

In simple words: This code covers a custom-made socket that replaces the part of a prosthetic leg that fits around the hip area for people who have had their leg removed at the hip joint.This socket includes the hip joint mechanism and may also have padding for comfort.

This code represents a custom-fabricated, molded replacement socket for patients with hip disarticulation, including a hip joint. The socket is molded to the patient's body for a precise fit and attaches to a hip disarticulation prosthesis. It may include a pad or liner for increased comfort.

Example 1: A patient who has undergone a hip disarticulation requires a new socket due to wear and tear on their existing prosthesis., A patient experiences changes in their residual limb volume, requiring a new, custom-molded socket for optimal fit and function., A patient's hip joint component malfunctions, necessitating the replacement of the entire socket assembly.

Documentation should include the medical necessity for the replacement socket, the type of hip disarticulation, the specific design and components of the socket, and any modifications made for the patient's comfort and function.

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